| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SCHONBERG, THOMAS3 | 8 WOODS LANE RYE, NY 10580 | CIGNA HEALTH AND LIFE INSURANCE CO. | $9K | — | $9K | 4.98% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BLVD, 2ND FLOOR HAUPPAUGE, NY 11788 | CIGNA HEALTH AND LIFE INSURANCE CO. | — | $8K | $8K | 4.45% |
| LOURO, STEPHEN3 | 225 WIRELESS BLVD. STE 200 HAUPPAUGE, NY 11788 | CIGNA HEALTH AND LIFE INSURANCE CO. | $2K | — | $2K | 1.25% |
| THOMAS SCHONBERG3 | 8 WOODS LANE ST RYE, NY 10580 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | — | $4K | 8.75% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 100 WALNUT AVE STE 504 CLARK, NJ 07006 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $819 | $1K | $2K | 5.07% |
| STEPHEN LOURO3 | 225 WIRELESS BLVD STE 200 HAUPPAUGE, NY 11788 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $580 | — | $580 | 1.45% |
| THOMAS SCHONBERG3 | 8 WOODS LANE ST. RYE, NY 10580 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $135 | — | $135 | 15.08% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 100 WALNUT AVE SUITE 504 CLARK, NJ 07006 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $19 | $25 | $44 | 4.92% |
| STEPHEN LOURO3 | 225 WIRELESS BLVD STE 200 HAPPAUGE, NY 11788 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $25 | — | $25 | 2.79% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 CLAIMS ADMIN | Claims processing; Non-monetary compensation; Contract Administrator; Other services; Direct payment from the plan; Participant communication; Named fiduciary; Float revenue Service code 12 | — | $178K |
| THOMAS SCHONBERG BROKER | Insurance agents and brokers Service code 22 | 8 WOODS LANE ST RYE, NY 10580 | $42K |
| PROFESSIONAL GROUP PLANS INC. BROKER | Insurance agents and brokers Service code 22 | 225 WIRELESS BLVD, SUITE 200 HAUPPAUGE, NY 11788 | $36K |
| STEPHEN LOURO BROKER | Insurance agents and brokers Service code 22 | 225 WIRELESS BLVD. SUITE 200 HAUPPAUGE, NY 11788 | $10K |
| CIGNA | Float revenue; Named fiduciary; Direct payment from the plan; Participant communication; Non-monetary compensation; Contract Administrator; Other services; Claims processing Service code 12 | — | $0 |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 140 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 140 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE CO. | 139 | $178K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE CO. | 139 | $178K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 140 | $40K |
| Other(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 140 | $41K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 140 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.